23D MEDGRP-MOODY
NPI 1316907744
Clinic/Center - Military/U.S. Coast Guard Outpatient in Moody Afb, GA
About 23d Medgrp-moody NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
23D MEDGRP-MOODY (NPI 1316907744) is a healthcare organization registered as a military/u.s. coast guard outpatient in Moody Afb, Georgia and active in the NPI registry since March 2006. The organization lists Jen Lewandowski, Air Force Ubo Analyst, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
The Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
Other Names 1
Other Identifiers 2
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MOODY AFB, GA 31699
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is 23D Medgrp-Moody's NPI number?
The NPI number for 23D Medgrp-Moody is 1316907744. It was assigned to this organization in the NPPES registry on March 28, 2006. The provider is also known as Moody AFB MTF.
Where is 23D Medgrp-Moody located?
23D Medgrp-Moody is located at 3278 Mitchell Blvd, Moody Afb, GA 31699. The listed phone number is (229) 257-3041.
What is 23D Medgrp-Moody's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient, with taxonomy code 261QM1100X.
When was this NPI record last updated?
The NPPES record for 23D Medgrp-Moody was last updated on June 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
